Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of a Multi-disciplinary Approached, Empowerment Theory Based Self-management Intervention in Older Adults with Chronic Illness

만성질환 노인에서 임파워먼트 이론에 근거한 다학제적 자기관리 프로그램의 효과

  • Park, Chorong (Yale School of Nursing) ;
  • Song, Misoon (College of Nursing.The Research Institute of Nursing Science, Seoul National University) ;
  • Cho, Belong (Department of Family Medicine, College of Medicine, Seoul National University) ;
  • Lim, Jaeyoung (Department of Rehabilitation Medicine, College of Medicine, Seoul National University) ;
  • Song, Wook (Department of Physical Education, Seoul National University) ;
  • Chang, HeeKyung (Seoul Women's College of Nursing) ;
  • Park, Yeon-Hwan (College of Nursing.The Research Institute of Nursing Science, Seoul National University)
  • 박초롱 (예일대학교 간호대학) ;
  • 송미순 (서울대학교 간호대학.간호과학연구소) ;
  • 조비룡 (서울대학교 의과대학 가정의학과) ;
  • 임재영 (서울대학교 의과대학 재활의학과) ;
  • 송욱 (서울대학교 사범대학 체육교육과) ;
  • 장희경 (서울여자간호대학) ;
  • 박연환 (서울대학교 간호대학.간호과학연구소)
  • Received : 2014.08.21
  • Accepted : 2014.12.31
  • Published : 2015.04.30
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Abstract

Purpose: The purpose of this study was to develop a multi-disciplinary self-management intervention based on empowerment theory and to evaluate the effectiveness of the intervention for older adults with chronic illness. Methods: A randomized controlled trial design was used with 43 Korean older adults with chronic illness (Experimental group=22, Control group=21). The intervention consisted of two phases: (1) 8-week multi-disciplinary, team guided, group-based health education, exercise session, and individual empowerment counseling, (2) 16-week self-help group activities including weekly exercise and group discussion to maintain acquired self-management skills and problem-solving skills. Baseline, 8-week, and 24-week assessments measured health empowerment, exercise self-efficacy, physical activity, and physical function. Results: Health empowerment, physical activity, and physical function in the experimental group increased significantly compared to the control group over time. Exercise self-efficacy significantly increased in experimental group over time but there was no significant difference between the two groups. Conclusion: The self-management program based on empowerment theory improved health empowerment, physical activity, and physical function in older adults. The study finding suggests that a health empowerment strategy may be an effective approach for older adults with multiple chronic illnesses in terms of achieving a sense of control over their chronic illness and actively engaging self-management.

Keywords

References

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